| NPI | 1932497377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 24831) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 24831) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2024-07-28 |